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胃与食管鳞状细胞癌罕见并存:一例报告

The rare coexistence of gastric and esophagus squamous cell carcinoma: a case report.

作者信息

El Harras Yahya, Imrani Kaoutar, Essetti Sara, Nassar Ittimade, Billah Nabil Moatassim, El Hiouy Houda, El Bacha Hicham, Mechhor Salma, Cherkaoui Manal, Konso Mariam, Benzzoubeir Nadia, Errabih Ikram

机构信息

Department of Radiology, Ibn Sina University Hospital Center, Mohamed V University of Rabat, Rabat, Morocco.

Department of Hepatogastroenterology and Proctology Medicine B, Ibn Sina University Hospital Center, Mohamed V University of Rabat, Rabat, Morocco.

出版信息

Pan Afr Med J. 2024 Aug 12;48:171. doi: 10.11604/pamj.2024.48.171.43878. eCollection 2024.

DOI:10.11604/pamj.2024.48.171.43878
PMID:39650830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11624470/
Abstract

Squamous cell carcinoma (SCC) of the stomach is a rare entity with fewer than 100 cases of primary SCC reported in the literature, while esophageal SCC is prevalent and more common. However, a synchronous squamous cell carcinoma found in the esophagus and stomach remains very uncommon. We present the case of a 64-year-old with a history of dysphagia who had an endoscopy that showed an impassable stenosis of the middle esophagus, with histopathology in favor of an esophagus squamous cell carcinoma. A computed tomography scan (CT-SCAN) then showed an exophytic mass of the lesser curvature of the stomach with the biopsy in favor of a squamous cell carcinoma. Our case report aims to keep in clinicians´ and anaomopathologists´ minds that esophageal SCC may coexist with gastric SCC and that the role of imaging is important in the diagnostic procedure.

摘要

胃鳞状细胞癌(SCC)是一种罕见的疾病,文献报道的原发性胃鳞状细胞癌病例少于100例,而食管鳞状细胞癌则较为常见。然而,同时在食管和胃中发现的鳞状细胞癌仍然非常罕见。我们报告一例64岁有吞咽困难病史的患者,其内镜检查显示食管中段有不可通过的狭窄,组织病理学结果支持食管鳞状细胞癌。随后的计算机断层扫描(CT扫描)显示胃小弯有一个外生性肿块,活检结果支持鳞状细胞癌。我们的病例报告旨在提醒临床医生和病理学家,食管鳞状细胞癌可能与胃鳞状细胞癌共存,并且影像学在诊断过程中起着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/0c31e6582f24/PAMJ-48-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/f5c214598b62/PAMJ-48-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/e3d3d5b99499/PAMJ-48-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/09179e38f0fc/PAMJ-48-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/0c31e6582f24/PAMJ-48-171-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/f5c214598b62/PAMJ-48-171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/e3d3d5b99499/PAMJ-48-171-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/09179e38f0fc/PAMJ-48-171-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3289/11624470/0c31e6582f24/PAMJ-48-171-g004.jpg

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A second malignancy is the major cause of death among thoracic squamous cell esophageal cancer patients negative for lymph node involvement.第二原发性恶性肿瘤是淋巴结未受累的胸段食管鳞状细胞癌患者的主要死亡原因。
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